Hanstad, Brad E
Hanstad, Brad E is an individual health care provider with primary practice located at 5044 Tennyson Pkwy Ste B , Plano TX 75024-2953. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hanstad, Brad E can be contacted via phone (972) 378-4104.Contact Information
Primary practice address
5044 Tennyson Pkwy Ste B
Plano TX 75024-2953
Phone: (972) 378-4104
Fax: (972) 378-9094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7943T | Texas |
Profile Details
| NPI number | 1609856236 |
|---|---|
| LBN Legal business name | Hanstad, Brad E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jun 19th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609856236 | NPPES |
| North Dakota | Other | 800558 | BLUE CROSS VISION |
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